10B-007 BP-2023-1512
74 AUDUBON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
10B-007-001 CITY OF NORTHAMPTON
Permit: Solar Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1512 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 SOLAR Contractor: License:
INSIGHT VENTURES LLC DBA
Est. Cost: 48287 INSIGHT SOLAR 114618
Const.Class: Exp.Date: 10/31/2023
Use Group: Owner: SALLY STAUB
Lot Size (sq.ft.)
Zoning: RR Applicant: INSIGHT VENTURES LLC DBA INSIGHT SOLAR
Applicant Address Phone: Insurance:
59C NORTH ST (413)338-7555 C56065970
HATFIELD, MA 01038
ISSUED ON:10/26/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 26 PANEL 10.53 KW ROOF MOUNTED SOLAR SYSTEM ON BARN WITH 29 FT TRENCH TO HOUSE (NO
STRUCTURAL NO BATTERY)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
• Signature: ( 19 ,,
• a',
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVED
The Commonwealth of Massachusetts OCT 2 5
Board of Building Regulations and Sta and 2( FO'
E;. Massachusetts State BuildingCode, 78( CMI€ar M ►1 ICIP LITY
N�F Qutt.DrNr US
Building Permit Application To Construct, Repair, Renovate •rR:HAM• E!1I o oP@1ted ar 2011
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 'P`?-3" /61)- Date Applied:
Jk0r,--> 26 // / /o-Z6 ZOZ_,
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
74 AUDUBON ROAD, LEEDS
1.1 a Is this an accepted street?yes X no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
ADRIAN STAUB LEEDS, MA 01053
Name(Print) City, State,ZIP
74 AUDUBON ROAD (413) 320-8995 adrianbstaub@gmail.com
No. and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 14 Specify: SOLAR
Brief Description of Proposed Work2:INSTALL 10.53 KW ROOF MOUNTED PV SYSTEM ON BARN.
NO ESS. 26 HANWHA Q-CELL 405W MODULES AND 1 TIGO 7600K-US INVERTER.
WILL NOT EXCEED BUILDING FOOTPRINT BUT WILL ADD 6" TO ROOF HEIGHT.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 15,935.50 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $32,352.00 ❑ Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire
Suppression) Total All Fees: $
Check No. 39 I Check Amount: OfKCash Amount:
6. Total Project Cost: $ 48,287.50 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-114618 10/31/2023
EDMUND P.SEPANSKI License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
59C NORTH STREET
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
HATFIELD,MA 01038 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Maso
nry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-338-7555 Applications@getinsightsolar.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
192102 6/8/2024
INSIGHT VENTURES LLC HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
59C NORTH STREET Applications@getinsightsolar.com
No.and Street Email address
HATFIELD,MA 01038 413-338-7555
City/Town, State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes IN No 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize INSIGHT VENTURES LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
ADRIAN STAUB 10/19/23
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
EDMUND P.SEPANSKI 10/19/23
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) _ Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
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, ,� " v; 212 Main Street • Municipal Building
--?A Northampton, MA 01060
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 59C NORTH STREET, HATFIELD, MA 01038
The debris will be transported by:
Name of Hauler: INSIGHT VENTURES LLC
Signature of Applicant: Y\Ciagn....4.0"4-i--, Date: 10/19/23